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Propofol and pancreatitis: Is there a relationship?

机译:异丙酚与胰腺炎:有关系吗?

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摘要

Pancreatitis is a severe illness that has been associated with the hypnotic agent propofol. Recent literature implies that propofol is a causative agent in the development of pancreatitis however; there have been several studies that cannot statistically support this belief. The intent of this experimental study is to determine a causative relationship between a commonly used anesthetic agent, propofol (2,6-diisopropylphenol) and a severe illness, pancreatitis.;Propofol is a lipid based sedative agent used both in the operating room (OR) and in the intensive care unit (ICU) to produce amnesia and decreased movement in patients. Pancreatitis is a severe illness that can have many etiologies. It is usually diagnosed through blood tests that indicate increased levels of triglycerides, lipids and certain enzyme levels such as amylase and lipase. In previous studies there have been questionable links to the administration of propofol and the development of pancreatitis in patients.;This prospective, randomized study attempts to determine a relationship between the administration of propofol and pancreatitis by exposing rat pancreatic cells (Wistar rat AR42J pancreatic tumor cells) to the clinically used, lipid-emulsion form of propofol. The AR42J cells were exposed to commonly used 'induction' doses of propofol utilized in an OR setting. The results were obtained by measuring amylase levels, lactate dehydrogenase (LDH) levels, and overall protein levels found in the media and tissue supernatant of rat pancreatic cells (AR42J cells) after exposure to full and half induction doses of propofol. Results showed a clear difference in the amount of LDH secreted in the collected media of the exposed rat pancreatic cells in comparison to the control group; however these results were not accurately reproducible. The results of the tissue supernatant measured from the cells showed no significant difference in amylase secretion nor total protein concentration between the control group as would be expected.;Conclusion. There is no definitive link between propofol and pancreatitis according to our laboratory results as measured by amylase, LDH and total protein concentration. Upon review of the literature an association between propofol and pancreatitis has been inferred. Further research may indicate a more close association between propofol and pancreatitis.;Key Words: Propofol, pancreatitis, rat pancreatic cells, anesthesia, sedative, amnesic
机译:胰腺炎是一种严重的疾病,已与催眠药丙泊酚有关。最近的文献暗示丙泊酚是胰腺炎发展的病因。有几项研究不能从统计学上支持这一信念。本实验研究的目的是确定常用的麻醉药丙泊酚(2,6-二异丙基苯酚)与严重疾病胰腺炎之间的因果关系;丙泊酚是一种在手术室中同时使用的脂质类镇静剂(OR )并在重症监护病房(ICU)中产生健忘症并减少患者的运动。胰腺炎是一种严重的疾病,可能有许多病因。通常通过血液测试来诊断,表明甘油三酸酯,脂质和某些酶水平(例如淀粉酶和脂肪酶)水平升高。在以前的研究中,丙泊酚的给药与患者胰腺炎的发展之间存在可疑的联系。细胞)到临床上使用的丙泊酚脂质乳剂形式。将AR42J细胞暴露于OR设置中常用的“诱导”剂量的异丙酚。通过测量大鼠胰腺细胞(AR42J细胞)的培养基和组织上清液中的淀粉酶水平,乳酸脱氢酶(LDH)水平和总蛋白质水平,可以发现在暴露于全部或一半诱导剂量的异丙酚后,这些结果得以获得。结果显示,与对照组相比,暴露的大鼠胰腺细胞收集的培养基中LDH的分泌量有明显差异。但是这些结果不能准确再现。从细胞测量的组织上清液的结果显示,与预期的对照组相比,淀粉酶的分泌或总蛋白浓度均无显着差异。根据我们的实验室结果(通过淀粉酶,LDH和总蛋白浓度测量),丙泊酚与胰腺炎之间没有明确的联系。根据文献回顾,已推断出异丙酚与胰腺炎之间的关联。进一步的研究可能表明丙泊酚与胰腺炎之间存在更密切的联系。关键词:丙泊酚,胰腺炎,大鼠胰腺细胞,麻醉,镇静剂,健忘症

著录项

  • 作者

    DeMeo, Angela.;

  • 作者单位

    Webster University.;

  • 授予单位 Webster University.;
  • 学科 Health Sciences Pharmacology.;Health Sciences Nursing.
  • 学位 M.S.
  • 年度 2009
  • 页码 85 p.
  • 总页数 85
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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